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PACIFIC GAS AND ELECTRIC COMPANY 1161 HAZARDOUS WASTE SHIPPING PAPER SHIP FROM SHIP TO NAME: Pacific Gas and Electric Com an NAME: Pacific Gas and Electric Company - LOCATION/ADDRESS: W• nN D Ato sostw ADDRESS: [ CITY: CITY: State: C4 ZiP: O STATE:Gq ZIPc1T LEPHONE: 20 - ?g9 - /63.2 DATE GENERATED: (7-/9/- /2_ SHIPPED: ARRIVED AT CONSOLIDATION SITE I: Was this waste held at any interim location? Yes No (circle one) Emergency Contacts: Ifyes,facility name and address: Name of Driver: J o �,' ERG#for PCBs - 171 Number of Container2 CA Waste Physical Amounts requiring Remotely Generated Hazardous Waste Quantity' nits Containers Type Code State shipping a er Non-RCRA Hazardous Waste,Solid, 611 lbs. solid >10lb (Spill Clean u - soil and debris contaminated with transformer oil<5 p mPCB Non-RCRA Hazardous Waste,Liquid, (O oily water with transformer oil<5 ppm PCB) 222 gals. liquid >1 gallon (❑used transformer oil<5 m PCB 221 Non-RCRA Hazardous Waste,Liquid,(oil filled capacitors<5 ppm PCB) 223 lbs. liquid >10 lbs. Non-RCRA Hazardous Waste,Liquid, (O known ppm PCB[549 ppm]) 261 (PCB-contaminated oil (O known ppm PCB[>50 ppm]) 731 kgs. liquid Required for any amount ❑unknown and assumed 50499 Pan PCB 731 ,-:ry'� D. a A Non-RCRA Hazardous Waste,Solid, I known wpm PCB) 26l 3,'kms-+ yds solid Required for any amount W Iv soil/debris contaminated with PCB [+j unknown and assumed 50-499 m PCs) �b3 M Non-RCRA Hazardous Waste,Liquid, 4known_ppm PCB[5-49 ppm]) 261 W/ (PCB-contaminated oil-filled electrical (0 known ppm PCB[>50 ppm]) 731 q00 kgs. liquid Required for any amount equipment) ❑unknown and assumed 50-499 planPCB 731 Ij< Non-RCRA Hazardous Waste,Solid, (O known_ppm PCB ) (Drained PCB-contaminated (O unknown and assumed 501199 ppm PCB) 261 kgs. solid Required for any amount electrical equipment Waste Polychlorinated Biphenyls,9, (O drained electrical equipment)° 4 261 kgs. solid Any container with>1 pound UN2315,PG IH,RQ (❑debris contaminated with PCB ail) ofpure PCB Waste Polychlorinated Biphenyls,9, (O oil-filled electrical equipment)4 731 kgs. liquid Any container with>1 pound UN2315,PG IH,RQ (0 PCB contaminated oil) of ure PCB Number of Container Hazardous Physical Amounts requiring Containers Type Material Hazardous Materials Quantity Units State shipping a er g In service oil filled electrical equipment(G5 ppm PCB) lbs. liquid Requested for any amount $ In service drained electrical equipment(<5 ppm PCB) lbs. solid Requested for any amount X In service oil filled electrical equipment (1]known wmpPCB[?5 ppm PCB]) kgs. liquid Requested for any amount ❑unimown,assumed 50499 porn PCB X In service drained electrical equipment (O known wpm PCB[> 5 Ppm PCB]) kgs. solid Requested for any amount ❑unknown,assumed 50-499 in PCB R Polychlorinated Biphenyls,9,UN2315,PG IH,RQ kgs. liquid Any equipment with>1 pound (Oil-filled electrical equipment with>270 gallons and unknown,assumed 50499 Pizzo PCB) of me PCB Equipmentmanufacturer and serial#: ............................................................................................. .... ....... ............. ...................... .................... 1. Recom keeping requirements are three years for non-PCB wastes and 5 years for PCB-contaminated wastes(archive permanently) 2. Transportation Regulatory Exemption Application variance-V95HOSE8158,Hazardous Waste Transportation License 25843,EPA 10 CAD981457880 3. Total waste shipment per vehicle may not exceed 2.500 pounds/shipment or 500 gallons/shipment with the exception of PCB wastes >5 ppm PCB. 4. H the concentration is unknown you must assume Ne equipment and/or deans Is 50 to 499 ppm PCB. A guide for estimating the RO and weight of PCB matedal is available on the back. The formula to determine amounts of pure PCB coolant is: gallons of oil x ppm PCBs,135,000=las.of pure PCB.If Ne volume of pure PCB meets or exceeds one pound'n one container(Ne Reportable Quantity for PCBs),use the shipping name with RC in description,otherwise use Non-RCRA(solid or liquid). Revised 515105